Forms

Brigade Participant Waiver Form

Dental Brigade Participant Waiver

Activities of the brigade will include transport within the host country, visits to remote communities, and participation in health clinics. Please read and accept the following.*

I understand that during the duration of the activities, I may encounter various risks to my health and safety that could result in death, injury or damage to my personal property, due to factors related but not limited to: variations in climate, natural disasters, water-borne illnesses, malaria, political instability, transportation and variations in diet.

I recognize that I am responsible for obtaining required immunizations, medications, and medical travel insurance (mandatory) necessary to travel to the host communities. Failure to obtain required immunizations and/or medications may jeopardize my health and the Team’s activities during the international exchange.

I along with all members of my family, heirs and executors, voluntarily waive any and all claims of whatever kind or nature, including but not limited to any negligence, against Change for Children Association and its officers, its sponsoring institutions, project partners and leaders and directors for any and all causes in connection with the activities which may arise from my participation in the activities.

I release, discharge, and forever hold harmless Change for Children Association and its project partners from all liability, claims, and demands related to personal injury, death, or property damage.

I have read and understood this agreement, and agree to it freely and voluntarily. Furthermore, by submitting this agreement I am aware that I am waiving certain legal rights, including the right to sue.